Organization
MAYAN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS F MONTOYA SR. MD (MEDICAL DIRECTOR)
(310) 707-7768
Entity
Organization
Contact information
Practice address
1800 W 6TH ST STE 3, LOS ANGELES, CA 90057-3139
(213) 483-9996
Mailing address
11827 ROSE AVE, LOS ANGELES, CA 90066-1119
(310) 707-7768
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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